Incidence of occupational exposure to blood and body fluids and measures taken by health care workers before and after exposure in regional hospitals of a developing country: A multicenter study

Sabermoghaddam, Mohsen; Sarbaz, Masoumeh; Lashkardoost, Hossein; Kaviani, Amine; Eslami, Saeid; Rezazadeh, Javad

doi:10.1016/j.ajic.2015.05.010

Cited by 14 publications

(15 citation statements)

References 8 publications

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“…In this study, after a NSI occurred, most of the nurses failed to report the injury to the relevant department of the hospital. The main reason for not reporting the injury was "I think the incident has no health risk" (58.7%), followed by "I was very busy at the time" (28.2%), which is similar to the results of Dong et al [8], Joukar et al [41], and Sabermoghaddam et al [42]. Nurses may think that an insulin injection device will not be contaminated by blood, which will reduce their vigilance.…”

Section: Reporting After a Nsisupporting

confidence: 70%

Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China

Luo¹,

Li²,

Huang³

et al. 2021

AJNS

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Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide.They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.

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Section: Reporting After a Nsisupporting

confidence: 70%

Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China

Luo¹,

Li²,

Huang³

et al. 2021

AJNS

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“…Underreporting was common in keeping with other studies, which have also shown that only 46% to 64% of incidents are reported [8][9][10][11][12][13][14][15]. The most common reasons for not reporting the incident were preferring to manage it privately, or thinking that it was not necessary to do so.…”

Section: Discussionmentioning

confidence: 59%

“…Appropriate reporting is also essential to effectively monitor the incidence of occupational exposure, as well as to identify areas of high exposure risk so that appropriate preventive measures can be implemented. Many studies, which have investigated the incidence and factors associated with exposure incidents, both nationally and internationally, have highlighted the problem of underreporting [8][9][10][11][12][13][14][15]. Few studies have, however, assessed the reasons for underreporting and non-adherence to protocols.…”

Section: Introductionmentioning

confidence: 99%

Exposure incidents among medical students in a high-prevalence HIV setting

Rossouw¹,

Rooyen²,

Richter³

2017

J Infect Dev Ctries

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Introduction: Occupational injuries in medical students are concerning, especially in countries with a high prevalence of bloodborne infections. With more HIV-infected patients on antiretroviral treatment, appropriate post-exposure prophylaxis (PEP) depends on knowledge of source patients' infection status and treatment response. This study determined the number and type of exposure incidents, reporting practices, and PEP use among medical students at the University of Pretoria, South Africa. Methodology: Data were collected from an anonymous voluntary questionnaire completed by medical students from years 1 to 6 of study as well as from incident records archived at the Department of Family Medicine. Data were described and tests of association performed in Stata 11. Results: Thirteen percent of students overall and 21% of senior students reported an incident in the preceding year. The majority of incidents occurred during phlebotomy, with fatigue and work pressure found to be major contributing factors. Underreporting was common and many students displayed a lack of risk awareness and a preference for managing the incident privately. Although 59% knew the HIV-status of the source patient, less than a third knew the viral load and only 16.9% the regimen. Side-effects on antiretroviral treatment used for PEP were common and only about three-quarters of the students completed the course. Conclusions: We recommend targeted training, especially in the senior years, together with improving the work environment through attention to working hours, sharps disposal and ready availability of safety devices, improved reporting systems, individualised PEP, and possibly the implementation of an occupational injury support line.

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“…More studies have been published since, and the seroconversion rate ranges from 0% to 5.4%. 12,[14][15][16][17][18][20][21][22] Our study found an overall seroconversion rate of 0.1% (n = 2) after occupational exposure to the blood of HCV-positive source patients. Both cases of seroconversion occurred after a percutaneous exposure to the left thumb of the HCP.…”

Section: Article In Pressmentioning

confidence: 98%

Seroconversion rates among health care workers exposed to hepatitis C virus–contaminated body fluids: The University of Pittsburgh 13-year experience

Egro

Nwaiwu

Smith

et al. 2017

American Journal of Infection Control

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Incidence of occupational exposure to blood and body fluids and measures taken by health care workers before and after exposure in regional hospitals of a developing country: A multicenter study

Cited by 14 publications

References 8 publications

Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China

Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China

Exposure incidents among medical students in a high-prevalence HIV setting

Seroconversion rates among health care workers exposed to hepatitis C virus–contaminated body fluids: The University of Pittsburgh 13-year experience

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